Tasia Scrutton’s earlier post on the Shiloh Project blog is one of our most widely read. Earlier this year Tasia’s new book Christianity and Depression was published by SCM. This book, on an important topic and written in an accessible style, is likely to be of interest to Shiloh Project audiences. Find out more!
Congratulations on your new book! (It has a very beautiful cover, too.)
Tell us about yourself, Tasia. How does your book relate to your work as a whole and how did this book come about?
I’ll start with how this book came about….
One of the first times I remember thinking about doing research on Christianity and mental illness was when a friend of mine, who had contended with serious health problems from an early age and who suffered from depression, was told by her church that her depression was the result of her having been sinful. Initially I thought that view must be extremely rare, but as I researched further, it became more apparent that it is quite common in some Christian traditions. At the same time, it also became apparent that something like this view is common outside of Christianity or any religious tradition as well: it’s quite frequent that people (religious or otherwise) try to provide moral reasons or quasi-moral reasons (such as not doing enough exercise) for why one person suffers from a mental illness while another does not.
It was around then that I started thinking consciously about the ways in which theology and philosophy could engage with these kinds of claims. Having said that, in retrospect, I can now see other things that also led up to it. For example, when I experienced depression myself, I wondered how the idea that salvation is not only an otherworldly affair could be squared with my inability to feel happy – or, more generally, how faith could so spectacularly fail to make one feel better. I didn’t experience ‘sin’ accounts like my friend, but I remember some clergy expressing the view that medications for depression were inadvisable because they would ‘block’ something that could lead to spiritual growth. So, all of those things had been fermenting for a long time.
The academic work I had done previously had also paved the way for me to write something on the topic. For example, I had already written on the problem of evil – one of the points I make in my book is that we might think that good things can come out of evil (for example, that depression has helped some people to become more insightful or compassionate) – but that doesn’t stop depression from being undesirable and so an evil. That sounds like a simple point but it becomes very important in practical contexts, for example in avoiding either the tendency to idealise suffering (just because good can come out of it), or else to write off a period of suffering as necessarily meaningless because suffering is an evil. (Unlike some philosophers of religion, I do think suffering is an evil.)
What are the key discussion points of your book?
The book is about different interpretations of depression (and, often, mental illness more generally), and how those interpretations affect people’s experience of mental illness. My aim is to help people navigate the different interpretations of depression that are often presented to them, and to help them separate the wheat from the chaff – or good interpretations from bad. I look at interpretations such as that depression is caused by individual sin, by demonic possession or oppression, by God (in order to bring about spiritual growth), by purely biological factors, or by a combination of biological, psychological and social factors. As well as explanatory interpretations, I also look at the idea that depression is potentially transformative – that is, that it can give rise to increased compassion, insight, and a heightened appreciation of beauty. And as well as evaluating existing accounts, I point to some promising emphases for a Christian understanding of depression: the importance of recognising our animality; a social (rather than individual) view of sin and the demonic; hope and the resurrection; and affirming God’s solidarity with those who suffer.
For a more detailed precis of the book, see here: – but don’t forget to come back and read more on the Shiloh blog 😊
What do you hope your readers will take from this book?
A therapist friend said people may well get out of the book whatever they want to get out of it at the time – whether or not I think I put it there. So, I’m aware that what I see the important points as being may not be the important points for others.
That said, a recurring theme when I’ve given talks on the book topic is that people tell me they’ve experienced sin interpretations of mental illness themselves (often coupled with other forms of spiritual abuse, such as homophobia), and thank me for taking these interpretations down. (I don’t think that’s too much of a spoiler!) I hope this book will come as a relief to those people who have experienced or are experiencing those interpretations, and closely associated interpretations (such as some demonic accounts). I also hope it will make religious leaders and peers think twice before putting forward damaging interpretations to vulnerable people.
As a corrective to sin interpretations, some people now emphasise the idea that mental illness is purely biological. While I think this is an improvement, another hope is that people will take the biopsychosocial model more seriously as a result of reading my book. That’s important because it’s truer to the evidence we have about the causes of mental illness and how to treat it, and because if we deflect attention from the social causes of mental illness – poverty, economic instability, forms of oppression such as racism, sexism, and homophobia – then we have less reason to do something about them. The Christian tradition has a distinctive voice when it comes to talking and doing something about social injustice, and (I argue) there are other (theological) reasons for why Christians should prefer a biopsychosocial model.
I can think of lots of other things I’d like people to take away with them from my book. I’ll mention just one further one though. I hope the book helps people bring together faith, understanding of mental illness, and conversations about the way we understand and treat non-human animals a bit more closely. Some of the causes of mental illness, and/or the collective failure to treat it appropriately, come from a denial of our own animality, and relate to our abuse of other animals. So, for example, we are often encouraged to deny our social needs, and our interdependence with others, in favour of an emphasis on individual competition that is ultimately extremely damaging to us. Christianity has been seen as part of the problem here, as it has been interpreted as a fundamentally dualistic worldview, with humans on the ‘spiritual’ (and only accidentally ‘physical’) side of the spiritual/physical divide. But I think this is a misunderstanding of the Christian tradition – and one that attention to doctrines such as the resurrection of the dead can help us with.
Can you clarify what is meant by both ‘mental illness’ and ‘depression’?
When I talk about ‘mental illness’ and ‘depression’, I mean anything that might reasonably be diagnosed as a mental illness or depression by a doctor (whether or not these have been diagnosed as such). In the case of depression, these include symptoms such as anhedonia (inability to feel pleasure), decreased motivation and concentration, or changes in sleep, guilt and hopelessness. Other common characteristics of depression not discussed in medical manuals can include, for example, a sense of one’s body being heavy and tired, and/or a decreased sense of free will or of possibility (see Ratcliffe, 2015).
‘Mental illness’ is a contested term because there is so much that is mental about (what we call) physical illness, and so much that is physical in (what we call) mental illness. In depression, for instance, people often experience tiredness, and report that their body feels heavy or leaden. Conversely, we usually feel pretty miserable when we have ‘flu. In addition to this, critics claim, ‘mental illness’ buys into mind/body dualism – something that’s increasingly recognised as a mistake, and a damaging one. I’m sympathetic to those concerns, but I don’t think changing the terms is the answer – it’s better to check our understanding of them instead. For the most part, we know how to use terms like ‘mental illness’ well – for example, to ask about a friend’s emotions if she says she is worried about her mental health. And while the boundaries are vague, there seem to be some things that make many ‘mental illnesses’ differ from many ‘physical illnesses’: mental illness is usually diagnosed on the basis of symptoms, for example, and the symptoms are often identical with the illness itself.
How does your book engage with the Bible?
As you might expect, there’s a lot of ‘proof-texting’ in sin interpretations of mental illness. Here’s one example, from a bestselling Christian self-help book written by two psychiatrists, about anxiety disorders:
Worrying is a choice, since the apostle Paul commands us to ‘be anxious for nothing’ (Minirth and Meier, p. 174).
Likewise, demonic interpretations of mental illness often take as their starting-point the perception that the exorcisms performed by Jesus that are reported in the Synoptic Gospels are about (what we would now call) mental illness.
In order to respond to these, I try to attend more closely to the detail of the texts (it turns out only one exorcism account really seems to relate to mental illness, for example), and consider texts taking into account their original context. Among other things, I think this leads to a less individualistic and more political and social understanding of language of sin and the demonic. It also helps to drive a wedge between being demonically afflicted (possessed or oppressed), on the one hand, and having sinned on the other. There’s pretty much nothing in the Bible to suggest that being demonically afflicted is the result of having oneself sinned as some proponents of demonic interpretations suggest – if anything, the opposite is the case.
In addition to this, I’m also interested in what texts are used or not used in worship. For example, many people with depression report finding the Psalms, and especially the Psalms of Lament, particularly helpful. Perhaps that isn’t surprising, since we know from everyday experience that people sometimes find sad music more comforting than happy music when they themselves are feeling sad – so perhaps there is something consoling about it being ok to have certain feelings, and not being alone when having them.
Some Christian traditions regard happiness as normative, and there’s little space within some forms of worship for feeling anything but joy. People with depression often report that kind of worship making them feel worse, because they can’t participate in the feelings of joy that others have (see e.g. Hilfiker, 2002). I think there’s something important about having biblical texts such as the Psalms of Lament within the context of worship or liturgy, and so making space for a range of different feelings within communal and sacred contexts.
What do you see as the points of connection between gender-based and sexual violence, Christianity, and mental health?
I talk about this quite a bit in chapter 7 of my book. Many Christian traditions are generally good about talking about suffering – but not so good at talking about certain kinds of suffering. In particular, some kinds of suffering seem to be stigmatized. For example, in the Catholic tradition, all the patron saints of rape victims are figures who managed to avoid rape (perhaps by choosing to die instead). That doesn’t send out a very hopeful message to people who didn’t manage to avoid rape. Relatedly, Christians are very happy with the fact that Christ suffered at the crucifixion, but the suggestion that Christ’s suffering involved sexual humiliation has been rejected by some as ‘feminizing’ Christ (see Tombs, 2018). In other words, there are still some kinds of suffering it’s seen as shameful to experience, and where those who experience them are left out in the cold.
That’s important because of course depression and other forms of mental illness are frequently triggered by trauma, including the trauma of rape and sexual abuse. The Christian tradition can be good at offering support and especially a sense of God’s solidarity with those who suffer, whether through belief that God suffers in Godself, or through an emphasis on the suffering of Christ and the saints. However, in excluding certain stigmatized forms of suffering from the life of Christ and the saints, there is a failure to provide solidarity to people who have had certain experiences – and of course that is also a failure to support people who might suffer from mental illness. In other words, churches can be good at providing solidarity with people in the face of some kinds of suffering but not others, and that is relevant to mental illness.
Whether churches have parallel issues about mental illness as they do to sexual violence isn’t clear. There are fewer patron saints of people with mental illness than victims of rape, and so it is harder to say. Some of the saints and holy figures who are patrons – for example, Matt Talbot – had stigmatized problems such as alcoholism. However, perhaps the most famous patron saint of mental illness, St Dymphna, did not herself have a mental illness – her father did. So perhaps there are similar issues: it is harder for people to identify with a figure within the Christian tradition who is a ‘fellow sufferer who understands’ (in A. N. Whitehead’s words), if the kind of suffering you are experiencing is of a stigmatized kind, because there are fewer people held up as ideals who went through that kind of stuff. That means people experiencing depression and people who have experienced sexual violence might not get forms of support from the Christian tradition that would be available to them if they had experienced poverty or a physical illness instead.
Hilfiker, David, 2002, ‘When Mental Illness Blocks The Spirit’, available at http://www.davidhilfiker.com/index.php?option=com_content&view=article&id=33:when-mental-illness-blocks-the-spirit&catid=14:spirituality-essays&Itemid=24
Minirth, Frank, and Meier, Paul, 1994, Happiness is a Choice: The Symptoms, Causes and Cures of Depression (Grand Rapids, MI: Baker)
Ratcliffe, Matthew, 2015, Experiences of Depression: A Study in Phenomenology (Oxford: Oxford University Press)
Tombs, David, 2018, #HimToo – Why Jesus Should Be Recognised As A Victim Of Sexual Violence, available at https://shiloh-project.group.shef.ac.uk/himtoo-why-jesus-should-be-recognised-as-a-victim-of-sexual-violence/
 I’m indebted to Simon Hewitt for this thought.